Cargando…

Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy

INTRODUCTION: Urinary incontinence is a major complication after radical prostatectomy. We analyzed the predictors of urinary incontinence after robot-assisted radical prostatectomy. MATERIAL AND METHODS: One hundred twenty-one patients, whose urinary continence status was evaluable at 3 months, 6 m...

Descripción completa

Detalles Bibliográficos
Autores principales: Yamashita, Kaori, Kijima, Yu, Sekido, Eri, Nagasaka, Naoki, Inui, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455970/
https://www.ncbi.nlm.nih.gov/pubmed/37638328
http://dx.doi.org/10.2147/RRU.S419903
_version_ 1785096582371213312
author Yamashita, Kaori
Kijima, Yu
Sekido, Eri
Nagasaka, Naoki
Inui, Masashi
author_facet Yamashita, Kaori
Kijima, Yu
Sekido, Eri
Nagasaka, Naoki
Inui, Masashi
author_sort Yamashita, Kaori
collection PubMed
description INTRODUCTION: Urinary incontinence is a major complication after radical prostatectomy. We analyzed the predictors of urinary incontinence after robot-assisted radical prostatectomy. MATERIAL AND METHODS: One hundred twenty-one patients, whose urinary continence status was evaluable at 3 months, 6 months, and 12 months after robot-assisted radical prostatectomy, were included from October 2016 to September 2021. Data were retrospectively collected from electronic medical records. The continence status was evaluated by interviewing the patients about the number of urinary pads used per day. We compared the patients’ age, body mass index, prostate volume, membranous urethral length on preoperative magnetic resonance imaging, surgeon experience, and pathological findings between patients with and without regained continence at 12 months after robot-assisted radical prostatectomy. RESULTS: The urinary continence rates were 30%, 57.8% and 79.3% at 3 months, 6 months, and 12 months, respectively, after robot-assisted radical prostatectomy. Twelve months after robot-assisted radical prostatectomy, 96 patients had regained continence and did not require urinary pads, whereas 25 patients had persistent urinary incontinence and required urinary pads. Membranous urethral length and surgeon experience were significantly different between patients with and without regained continence at 12 months after robot-assisted radical prostatectomy (P=0.05). However, no significant differences existed in age, body mass index, prostate volume, and pathological findings between patients with and without regained continence at 12 months after robot-assisted radical prostatectomy. CONCLUSION: Membranous urethral length and surgeon experience are predictors of urinary incontinence after robot-assisted radical prostatectomy. Measuring the membranous urethral length is recommended before performing the operation.
format Online
Article
Text
id pubmed-10455970
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Dove
record_format MEDLINE/PubMed
spelling pubmed-104559702023-08-26 Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy Yamashita, Kaori Kijima, Yu Sekido, Eri Nagasaka, Naoki Inui, Masashi Res Rep Urol Original Research INTRODUCTION: Urinary incontinence is a major complication after radical prostatectomy. We analyzed the predictors of urinary incontinence after robot-assisted radical prostatectomy. MATERIAL AND METHODS: One hundred twenty-one patients, whose urinary continence status was evaluable at 3 months, 6 months, and 12 months after robot-assisted radical prostatectomy, were included from October 2016 to September 2021. Data were retrospectively collected from electronic medical records. The continence status was evaluated by interviewing the patients about the number of urinary pads used per day. We compared the patients’ age, body mass index, prostate volume, membranous urethral length on preoperative magnetic resonance imaging, surgeon experience, and pathological findings between patients with and without regained continence at 12 months after robot-assisted radical prostatectomy. RESULTS: The urinary continence rates were 30%, 57.8% and 79.3% at 3 months, 6 months, and 12 months, respectively, after robot-assisted radical prostatectomy. Twelve months after robot-assisted radical prostatectomy, 96 patients had regained continence and did not require urinary pads, whereas 25 patients had persistent urinary incontinence and required urinary pads. Membranous urethral length and surgeon experience were significantly different between patients with and without regained continence at 12 months after robot-assisted radical prostatectomy (P=0.05). However, no significant differences existed in age, body mass index, prostate volume, and pathological findings between patients with and without regained continence at 12 months after robot-assisted radical prostatectomy. CONCLUSION: Membranous urethral length and surgeon experience are predictors of urinary incontinence after robot-assisted radical prostatectomy. Measuring the membranous urethral length is recommended before performing the operation. Dove 2023-08-21 /pmc/articles/PMC10455970/ /pubmed/37638328 http://dx.doi.org/10.2147/RRU.S419903 Text en © 2023 Yamashita et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Yamashita, Kaori
Kijima, Yu
Sekido, Eri
Nagasaka, Naoki
Inui, Masashi
Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy
title Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy
title_full Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy
title_fullStr Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy
title_full_unstemmed Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy
title_short Predictors of Long-Term Urinary Incontinence After Robot–Assisted Laparoscopic Prostatectomy
title_sort predictors of long-term urinary incontinence after robot–assisted laparoscopic prostatectomy
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455970/
https://www.ncbi.nlm.nih.gov/pubmed/37638328
http://dx.doi.org/10.2147/RRU.S419903
work_keys_str_mv AT yamashitakaori predictorsoflongtermurinaryincontinenceafterrobotassistedlaparoscopicprostatectomy
AT kijimayu predictorsoflongtermurinaryincontinenceafterrobotassistedlaparoscopicprostatectomy
AT sekidoeri predictorsoflongtermurinaryincontinenceafterrobotassistedlaparoscopicprostatectomy
AT nagasakanaoki predictorsoflongtermurinaryincontinenceafterrobotassistedlaparoscopicprostatectomy
AT inuimasashi predictorsoflongtermurinaryincontinenceafterrobotassistedlaparoscopicprostatectomy